Hyper symptoms

There are so many reasons a thyroid patient can have hyper-like symptoms, even without having the “hyperthyroid” autoimmune disease called Graves.

Hyper symptoms can include anxiety, panicky feelings, palps, higher heartrate, shakiness, feeling wired and more listed below. You might even be told you’re having a thyroid storm.

The hyper symptoms are usually all caused by your body producing excess adrenaline in response to a problem.

The more common reasons for hyper-like symptoms include:

Having low cortisol and or low iron–both which can cause T3 to pool high in your blood, causing high adrenaline, the latter causing hyper-like symptoms to match!

Getting on HC (hydrocortisone aka cortisol) when you have an overly high FT3, which can cause a sudden T3-rush into the cells which we call a “thyroid dump”. This is why it’s much better to allow your pooled T3 to fall fist.

Having Hashimotos where you get the hyper swings of the die-off of your thyroid thrusting thyroid hormones into your blood

Here are common hyper-like symptoms to watch for, and you may have some but not others:

a higher-than-normal heartrate or heart pounding

feeling nervous or anxietal

feeling the need to shake your leg

having a sense of speediness or mania

heart palpitation (feels like an extra thump or beat)

trembling, whether in your hands or inside your body

trouble sleeping

sweating more than normal

feeling really uncomfortable in heat

feeling clammy

shortness of breath (also a symptom of low thyroid or low iron)

a high Reverse T3 lab result

WithGraves’ disease, an autoimmune attack on your TSH-receptor which activates the production of far too much thyroid hormone, you can have the above plus the following:

protrusion of your eyes (caused by inflammation of your eye muscles and called Graves’ ophthalmopathy)

frequent bowel movements

enlargement of your thyroid

extreme weight loss

thicker, redder skin

How to discern between all the above?

To discern if you have Hashimotos disease causing hyper-like swings in the die-off, get the anti-TPO and anti-thyroglobulin lab work. i.e BOTH, not just one.

To discern if you have Hashitoxicosis, all the above plus the TSI (the Hashi’s chapter in the revised STTM book talks about this.)

To discern if low cortisol or low iron is causing the hyper-like symptoms (common!), order a 24-hour adrenal saliva test plus four iron labs. You can order your own from the Recommended Labwork page. T3 tends to go far too high in your blood when either are problematic.

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Thyroid Madness Definition according to many reported patient experiences:

Treating most hypothyroid patients with T4-only meds; offering no options.

Dosing solely by the TSH and the total T4, or using the outdated "Thyroid Panel".

Prescribing anti-depressants in lieu of evaluating and treating the free T3.

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